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Individual

MRS. HAVILAH NOEL BRODHEAD

Active
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Individual

MRS. HAVILAH NOEL BRODHEAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N., MSN, FNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
201500894NP-PP
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
201407546NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500678393
—
OR
Enumeration date
06/07/2011
Last updated
07/06/2026
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